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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREANNA TAINA WILLEFORD
NPI 1962965566
Physical Medicine & Rehabilitation - Pain Medicine in Charlotte, NC

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment
11415 GOLF LINKS DR STE 100, CHARLOTTE, NC 28277(704) 831-4300(704) 831-4391 Get Directions Write a Review

NPPES record last updated: August 27, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 27, 2026, Apr 28, 2026, Jun 19, 2020 and 1 more (4 updates tracked since 2019).

About Breanna Taina Willeford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BREANNA TAINA WILLEFORD (NPI 1962965566) is an individual pain medicine provider in Charlotte, North Carolina, licensed in North Carolina (2024-02208) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962965566
Entity TypeIndividualFemale
Primary Taxonomy2081P2900X
Provider Legal NameBREANNA TAINA WILLEFORD
Location Address11415 GOLF LINKS DR STE 100Charlotte, NC 28277-8228
Mailing Address11415 Golf Links Dr Ste 100Charlotte, NC 28277-8228 · (704) 831-4300 · Fax (704) 831-4391
Phone(704) 831-4300
Fax(704) 831-4391
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 10, 2019
Last NPPES UpdateAugust 27, 20264 updates tracked since enumeration
NPPES CertifiedAugust 27, 2026
✔ NPI 1962965566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in NC · 2024-02208
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
11415 GOLF LINKS DR STE 100, Charlotte, NC 28277
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Breanna Taina Willeford is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4284065541
PECOS Enrollment IDI20240910000398
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
33 services28 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services23 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
20 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DARIEN LASHAWN MCNEILL MD
Physical Medicine & Rehabilitation (Pain Medicine)
11415 GOLF LINKS DR STE 100
CHARLOTTE, NC 28277
Mecklenburg County (704) 831-4300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Breanna Willeford's NPI number?

The NPI number for Breanna Willeford is 1962965566. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Where is Breanna Willeford located?

Breanna Willeford practices at 11415 Golf Links Dr Ste 100, Charlotte, NC 28277. The listed phone number is (704) 831-4300.

What is Breanna Willeford's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Breanna Willeford enrolled in Medicare?

Yes. Breanna Willeford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Breanna Willeford accept?

Health plans from Blue Cross and Blue Shield of NC list Breanna Willeford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Breanna Willeford was last updated on August 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.